Health Service Provision in Tamil Nadu: Assessing Facility Capacity, Costs of Care, and Patient Perspectives

Published March 29, 2018

This report draws from the Access, Bottlenecks, Costs, and Equity (ABCE) project in Tamil Nadu, India, part of a multi-pronged and multi-country research collaboration focused on understanding what drives and hinders health service provision. Results include the following:

  • Assessing the capacity of health facilities to provide services across different levels of care, such as physical infrastructure, human resources for health, and stocks of medicines and functional equipment
  • Comparing patient reports of their experiences at facilities, including wait time for care, interactions with providers, and expenses incurred during their visit
  • Tracking trends in patient volumes and spending across facility types
  • Quantifying the relationship between facility resources and production of services
  • Estimating facility costs associated with different types of services

Funding for this project was provided by the Bill & Melinda Gates Foundation – Disease Control Priorities Network (Investment # OPP51229).


Institute for Health Metrics and Evaluation (IHME) and Public Health Foundation of India (PHFI). Health Service Provision in Tamil Nadu: Assessing Facility Capacity, Costs of Care, and Patient Perspectives. Seattle, WA: IHME and PHFI, 2018.